| NPI | 1669929485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 222273) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NM RTL) |
| 207T00000X Neurological Surgery (Licence: NC 222273) | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2018-05-02 |