| NPI | 1669460531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: DE C10008852) |
| Additional Taxonomies | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: PA MD068496L) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2016-07-07 |