| NPI | 1982051439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CO DR.0070201) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MA 291457) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-14 |
| Last Update Date | 2023-07-05 |