| NPI | 1740787514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MO 2024013118) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX BP1-0063431) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2024-06-14 |