| NPI | 1720399736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: TX R3844) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: RI LP02076) |
| 208200000X Plastic Surgery (Licence: TX R3844) | |
| 208600000X Surgery (Licence: RI LP02076) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2019-03-08 |