| NPI | 1750428611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MD D0065913) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MD Q8790) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2011-07-01 |