NPI | 1003409244 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R182700) |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: MD R182700) |
Enumeration Date | 2021-02-18 |
Last Update Date | 2025-08-01 |