| NPI | 1952939472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MA 295277) |
| 208200000X Plastic Surgery (Licence: GA 110234) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2026-05-16 |