| NPI | 1477181774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: ID 5771286) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208200000X Plastic Surgery (Licence: AZ R77983) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2026-07-15 |