| NPI | 1639637267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343980) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NY 343980) |
| Enumeration Date | 2019-03-02 |
| Last Update Date | 2023-06-30 |