| NPI | 1447966841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10870685-4405) |
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: UT 10870685-3102) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-05-26 |