| NPI | 1972881571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MI 4301117511) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NC 207235) |
| 208600000X Surgery (Licence: IL 036137095) | |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2025-07-17 |