| NPI | 1851617815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: UT 8156893-1205) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: UT 8156893-1205) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2021-10-21 |