| NPI | 1770018889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CA A184492) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A184492) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2024-04-29 |