| NPI | 1780189183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX MedicalLicense-U7907) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX U7907) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-06-28 |