| NPI | 1679004493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: GA 92650) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2023-07-05 |