| NPI | 1093599664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0121X Registered Nurse, Plastic Surgery (Licence: MD R199782) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MD R199782) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: DC RN1028912) | |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-23 |