| NPI | 1750946885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MA 1021999) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 93914) |
| 208600000X Surgery (Licence: GA 93914) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2025-07-30 |