| NPI | 1235472374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WA MD61176187) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA 133832) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WA MD61176187) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2021-08-12 |