| NPI | 1952045197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32010) |
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: TN RN0000198928) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-07-10 |