| NPI | 1699035253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 35.144983) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: PA MT201548) |
| 208600000X Surgery (Licence: PA MT201548) | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2022-08-04 |