| NPI | 1982782124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NJ 25MA08713200) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NH 13578) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2023-07-21 |