| NPI | 1710373485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A144388) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MA 287354) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2022-06-24 |