| NPI | 1689833709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CO DR.0055742) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NY 255797) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2023-01-20 |