| NPI | 1659767309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CO DR.0070761) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: WI 66770-20) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2023-07-10 |