| NPI | 1982083416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CO DR.0066287) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX BP10053998) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2021-07-29 |