| NPI | 1528227238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036150999) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CT 61073) |
| 208600000X Surgery (Licence: CT 61073) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301091958) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2019-10-11 |