| NPI | 1922281187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A134892) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: LA 308241) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2020-03-16 |