| NPI | 1235711193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: KY 3015434) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OH APRN.CNP.0028515) |
| 208200000X Plastic Surgery (Licence: OH RN.415011) | |
| 363L00000X Nurse Practitioner (Licence: KY 3015434) | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2022-06-29 |