| NPI | 1588733562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL me92290) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101259723) |
| 208200000X Plastic Surgery (Licence: VA 0101259723) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2022-01-07 |