| NPI | 1992110712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NE 31989) |
| Additional Taxonomies | 208600000X Surgery (Licence: NE 7282) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2022-08-09 |