| NPI | 1477329159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9294375) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: FL 9294375) |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |