| NPI | 1467565481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: GA 023892) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: GA 023892) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2016-05-16 |