| NPI | 1417267543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse Wound Care (Licence: NM R62638) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R62638) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |