| NPI | 1760623342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101254642) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MD D73506) |
| 208200000X Plastic Surgery (Licence: TX BP10025197) | |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2021-02-07 |