| NPI | 1619067204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: UT 375087-1205) |
| Additional Taxonomies | 208600000X Surgery (Licence: UT 375087-1205) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2023-01-20 |