| NPI | 1871812438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301096304) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 036.143221) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2018-03-17 |