| NPI | 1669686572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NC 261168690) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 036-115527) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2019-08-16 |