| NPI | 1194291682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F07182393) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OH F07182393) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2023-11-14 |