| NPI | 1790776425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WA MD00031440) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IN 01082989A) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2024-07-03 |