| NPI | 1982966628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101272947) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101272947) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2024-07-10 |