| NPI | 1598089237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 35143707) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: WA MD60832883) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2022-03-27 |