| NPI | 1194142992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WE0900X Registered Nurse Enterostomal Therapy (Licence: SC 14381) |
| Additional Taxonomies | 163WC2100X Registered Nurse Continence Care (Licence: SC 14381) |
| 163WH0200X Registered Nurse Home Health (Licence: SC 14381) | |
| 163WW0000X Registered Nurse Wound Care (Licence: SC 14381) | |
| 163WX1500X Registered Nurse Ostomy Care (Licence: SC 14381) | |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |