| NPI | 1700077237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD452576) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NJ 25MA08245300) |
| 208200000X Plastic Surgery (Licence: WV 24109) | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2020-08-11 |