| NPI | 1336315597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WS0121X Registered Nurse, Plastic Surgery (Licence: GA RN108059) |
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: SC R200164) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2012-02-17 |