| NPI | 1689105397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MN 74336) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: WI 70497-20) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2023-07-06 |