| NPI | 1245746833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0121X Registered Nurse, Plastic Surgery (Licence: SC 25204) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0024175559) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2025-05-19 |