| NPI | 1831754621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 5101027191) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5151013420) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2024-06-07 |