| NPI | 1801183496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IA MD-44314) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: SD 10319) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2019-09-05 |