| NPI | 1528539848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: OR 200940230) |
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: OR 200940230RN) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |