| NPI | 1467996777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 174028-30) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: WI 10141336) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |