| NPI | 1770657363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MO 114740) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 114740) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2021-06-14 |