| NPI | 1588829147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101233956) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MD D74935) |
| 208200000X Plastic Surgery (Licence: DC MD037518) | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2013-02-21 |