| NPI | 1992791867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD418157) |
| Additional Taxonomies | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: PA MD418157) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2015-06-04 |