| NPI | 1851684062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A156372) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: PA MT199700) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT199700) | |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2018-12-13 |