| NPI | 1881638336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NE 18343) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IA 31962) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-04-16 |