| NPI | 1750612727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AR E-11532) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL TRN15079) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2023-10-10 |