| NPI | 1265848733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CA 676000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 676000) |
| 163WS0121X Registered Nurse, Plastic Surgery (Licence: CA 676000) | |
| Enumeration Date | 2014-07-06 |
| Last Update Date | 2015-07-09 |