| NPI | 1053653444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: ID N-43041) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704290285) |
| 163WW0000X Registered Nurse, Wound Care (Licence: MN 2005455305) | |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2013-03-23 |