NPI | 1255672259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: NY F337644) |
Additional Taxonomies | 376G00000X Nursing Home Administrator (Licence: NY F337644) |
Enumeration Date | 2013-03-15 |
Last Update Date | 2013-03-15 |