| NPI | 1659627818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX R6447) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX BP10043793) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2019-11-05 |