| NPI | 1902474844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX BP10074432) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TN BP10074432) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2026-06-17 |