| NPI | 1366142655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA L9780) |
| Additional Taxonomies | 163WS0121X Registered Nurse Plastic Surgery (Licence: CA RN743292) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-04-10 |