| NPI | 1821485111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MS 28641) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MS 28641) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2026-05-09 |