| NPI | 1891322772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A206762) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: WA MD.61325340) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2026-07-01 |