| NPI | 1578781316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: RI MD13945) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP00008) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2019-11-27 |