| NPI | 1922236009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A139267) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: RI LP01752) |
| 208600000X Surgery (Licence: RI LP01752) | |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2020-05-29 |