| NPI | 1366534554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0900X Registered Nurse Enterostomal Therapy (Licence: TX 584426) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: TX 584426) |
| 163WX1500X Registered Nurse Ostomy Care (Licence: TX 584426) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |