| NPI | 1588291751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A209133) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: UT 12439664-1205) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2026-07-08 |