| NPI | 1649818014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: KS 15-02316) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MO 2020007095) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2020-02-27 |