| NPI | 1427535913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2313417) |
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: MA RN2313417) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |