| NPI | 1588879316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101236982) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101236982) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2019-06-17 |