| NPI | 1902995194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OR MD16987) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR MD16987) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-03-12 |