| NPI | 1780827949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX S6009) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX S6009) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX S6009) | |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2023-09-07 |