| NPI | 1083331920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: OR 036407RN) |
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: OR 036407RN) |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2022-10-21 |