| NPI | 1972575850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NC 9701469) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 9701469) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2011-03-23 |