| NPI | 1952539660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: KS 04-48406) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MO 2015025969) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2025-12-12 |