| NPI | 1578068433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX U8314) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MN 29128) |
| 208200000X Plastic Surgery (Licence: MN 65823) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2024-07-22 |