NPI | 1356856363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: FL 9431535) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9431535) |
163WG0000X Registered Nurse, General Practice (Licence: GA RN256530) | |
163WW0000X Registered Nurse, Wound Care (Licence: FL 9431535) | |
Enumeration Date | 2017-12-13 |
Last Update Date | 2017-12-13 |