| NPI | 1821479734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: GA 97664) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MO 2015017254) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2024-03-16 |