NPI | 1659415453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CO 37642) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 37642) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2008-03-03 |