| NPI | 1407092158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: TN RN0000151286) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: KY 2004337787) |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2008-12-31 |