| NPI | 1619491206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL 9112961) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA 54557) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-10-24 |