| NPI | 1912229808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A125028) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A1215028) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2023-08-28 |