| NPI | 1821351107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MS 26873) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MA 252579) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2019-10-01 |