| NPI | 1801139845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301502315) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MI 4301502315) |
| 208600000X Surgery (Licence: MI 4301502315) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2020-07-08 |