| NPI | 1376430165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP003737) |
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: SD R054903) |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-07-23 |