| NPI | 1144557125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WI 67149) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301095572) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2021-03-02 |