NPI | 1588000335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME147311) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK M080790297) |
Enumeration Date | 2013-05-21 |
Last Update Date | 2021-05-02 |