| NPI | 1750964557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MI 4351048666) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MI 4351048666) |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2025-03-29 |