NPI | 1861952335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 335152) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101280479) |
Enumeration Date | 2019-03-21 |
Last Update Date | 2025-06-17 |