| NPI | 1740258672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 35.078555) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35-078555) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2023-07-14 |