| NPI | 1952146706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MN 80334) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MN 34184) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2025-08-20 |