| NPI | 1558822775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116040230) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: UT 11898873-1205) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2025-07-19 |