| NPI | 1740995216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 13307-33) |
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: WI 237972-30) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |