| NPI | 1801158373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX R0910) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX BP10043207) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2018-08-22 |