| NPI | 1003633686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95032090) |
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: CA 95160001) |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |