| NPI | 1861530438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301117082) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OH 57) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2023-06-21 |