| NPI | 1326201146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME140284) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A110466) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT186534) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2025-03-11 |