| NPI | 1982662045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA G86853) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G86853) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2016-10-13 |