| NPI | 1730380999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OR MD28292) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OH 35088024) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2014-09-15 |