| NPI | 1811589500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008526) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: FL APRN11008526) |
| 208600000X Surgery (Licence: FL APRN11008526) | |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-02-04 |