| NPI | 1487382594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 144390) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: WI 144390) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-09 |