| NPI | 1689818486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301108963) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WI 6481420) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2023-11-27 |