| NPI | 1730346388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OR MD28284) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD28284) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2010-09-14 |