| NPI | 1588417737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11026524) |
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: FL RN9536383) |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2025-05-16 |