| NPI | 1780067694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME160816) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301502703) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN21711) | |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2023-08-17 |