| NPI | 1699227967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: SC 84660) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OH 57028959) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2020-10-23 |