| NPI | 1649496340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD430675) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NJ 25MA08282500) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2023-04-14 |