| NPI | 1932304375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 242326) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: PA MD439523) |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2015-08-04 |