| NPI | 1366463556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 246783) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: CA 246783) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-07-08 |