| NPI | 1417680836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 2086S0122X) |
| Enumeration Date | 2022-07-04 |
| Last Update Date | 2024-06-20 |