| NPI | 1013167675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WI 62510-20) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036119295) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2015-01-27 |