| NPI | 1952692352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TN 57221) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NY 288961) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2022-11-21 |