| NPI | 1922356567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MD D84067) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A121475) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2023-02-21 |