| NPI | 1952507147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 406146-1047) |
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: CA 406146) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-08 |