| NPI | 1770713182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WI 55098-20) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MA 258171) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2021-11-23 |