| NPI | 1730289828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AL AL16730) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AL 16730) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2024-01-31 |