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 |