| NPI | 1497048136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME138544) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: SC 83370) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2024-01-01 |