| NPI | 1750735718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WI 81509) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: AZ 54598) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2023-02-24 |