| NPI | 1639005804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0121X Registered Nurse, Plastic Surgery (Licence: UT 5124919-3102) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: UT 5124919-3102) |
| Enumeration Date | 2026-06-23 |
| Last Update Date | 2026-06-23 |