| NPI | 1801259353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME168861) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A185947) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A185947) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2024-08-29 |