| NPI | 1952041170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MN 74730) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MN 32534) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2023-07-11 |