| NPI | 1841460185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL OS11384) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA 0T010986) |
| 208200000X Plastic Surgery (Licence: NY 259049-1) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2013-05-06 |