NPI | 1962465138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: OR MD28554) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: WI 46312) |
Enumeration Date | 2006-04-10 |
Last Update Date | 2012-12-12 |