| NPI | 1740578921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: VA 010264848) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: WI 1740578921) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2019-12-28 |