| NPI | 1639382666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NC 2014-00674) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WA MD60084893) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2014-08-21 |