| NPI | 1780812925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WI 66949) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2009014205) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2018-08-17 |