| NPI | 1174089189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 436763-1) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NY 436763-1) |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |