| NPI | 1255687604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 116131-030) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: WI 4180812) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2016-09-22 |