| NPI | 1467610477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 47216) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208200000X Plastic Surgery (Licence: ME MD20877) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2016-06-13 |