| NPI | 1619138310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CO DR.0060735) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX q0847) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NV LL1855) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2020-02-26 |