| NPI | 1891498572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MN 77597) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MN 33365) |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2024-08-13 |