| NPI | 1659802577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME169118) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OH 35.148255) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2024-09-18 |