| NPI | 1831695121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 35.153160) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MA 286436) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2025-07-03 |