| NPI | 1902888977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2013-01831) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NC 193143) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2015-10-22 |