| NPI | 1528770625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1041368) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: DC NP1041368) |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2023-02-22 |