| NPI | 1730311226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A87024) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A87024) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2022-11-08 |