| NPI | 1841237799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NC 34091) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX K5908) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2011-11-16 |