| NPI | 1972881571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NC 207235) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036137095) |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2015-04-16 |