| NPI | 1720291941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX Q7019) |
| Additional Taxonomies | 208600000X Surgery (Licence: HI 13510) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2022-02-17 |