| NPI | 1790270510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX T5103) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX T5103) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2024-04-24 |