| NPI | 1548808603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP143786) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX AP143786) |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2023-10-25 |