| NPI | 1992423305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX 48336) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NY P114798) |
| 208200000X Plastic Surgery (Licence: TX 48336) | |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2024-07-09 |