| NPI | 1114330453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TN 68216) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A175245) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301105403) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2023-10-26 |