| NPI | 1851520100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WI 65076) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 11015151A) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2016-07-05 |