| NPI | 1093463291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 223979) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: LA 1477582526) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2024-04-17 |