| NPI | 1740291186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 301784) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NY 301784) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2023-07-05 |