| NPI | 1225548175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006029) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA 95006029) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2021-11-10 |