| NPI | 1558781179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA 175636) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 38436) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2023-09-20 |