| NPI | 1568282382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN287126) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN287126) |
| 208200000X Plastic Surgery (Licence: GA RN287126) | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: GA RN287126) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN287126) | |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |