| NPI | 1922810506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NC F09241031) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NC 5021542) |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-03-03 |