| NPI | 1265200612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse Wound Care (Licence: OK 2005466878) |
| Additional Taxonomies | 163WX1500X Registered Nurse Ostomy Care (Licence: OK 2005468472) |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |