| NPI | 1891273215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NM MD2020-0864) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208200000X Plastic Surgery (Licence: NM MD2020-0864) | |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2023-07-10 |