| NPI | 1386417285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11029529) |
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: FL RN9576355) |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2025-07-13 |