| NPI | 1619409190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A157330) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A157330) |
| 208600000X Surgery (Licence: IL 036160697) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2025-05-10 |