| NPI | 1831552041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WI 68033) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: WI 1831552041) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WI 68033) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2023-11-30 |