| NPI | 1871023259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD484855) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 125070773) |
| 208200000X Plastic Surgery (Licence: NJ 25MA12287800) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2024-08-01 |