| NPI | 1609091602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A104105) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: AZ 74012) |
| 208200000X Plastic Surgery (Licence: PA MD431060) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2026-08-04 |