| NPI | 1629802988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37195) |
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: TN 264334) |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2025-01-27 |