| NPI | 1790141224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP8287) |
| Additional Taxonomies | 163WS0121X Registered Nurse Plastic Surgery (Licence: AZ RN192670) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2023-06-18 |