| NPI | 1164820833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0900X Registered Nurse, Enterostomal Therapy (Licence: NY 304862) |
| Additional Taxonomies | 163WC2100X Registered Nurse, Continence Care (Licence: NY 304862) |
| 163WW0000X Registered Nurse, Wound Care (Licence: NY 304862) | |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |