| NPI | 1588015671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: UT 12213265-1205) |
| Additional Taxonomies | 208600000X Surgery (Licence: NE TEP 7793) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2021-05-31 |