| NPI | 1639183932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX ap118463) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118463) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2022-09-29 |