| NPI | 1306528914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95025193) |
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: CA NP95025193) |
| 208200000X Plastic Surgery (Licence: CA NP95025193) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95025193) | |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |