| NPI | 1942234018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME157381) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: PA MD429047) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-01-20 |