| NPI | 1053295881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WS0121X Registered Nurse, Plastic Surgery (Licence: MO 2007034620) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2007034620) |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |