| NPI | 1912520669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A185158) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX W4780) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2026-06-22 |