| NPI | 1700935293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA 137531) |
| Additional Taxonomies | 163WS0121X Registered Nurse Plastic Surgery (Licence: GA 1568) |
| 363L00000X Nurse Practitioner (Licence: GA 137531) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2021-10-25 |