| 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 |