| NPI | 1821222308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: GA 68383) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101247307) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208200000X Plastic Surgery (Licence: TX N9528) | |
| 208200000X Plastic Surgery (Licence: GA 68383) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2012-11-30 |