| NPI | 1902016918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0121X Registered Nurse, Plastic Surgery (Licence: CO 180608) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CO 180608) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-11-02 |