| NPI | 1598293979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TN 71112) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: PA MT215241) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2024-06-05 |