| NPI | 1508105966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WX1500X Registered Nurse, Ostomy Care (Licence: NY 188082) |
| Additional Taxonomies | 163WE0900X Registered Nurse, Enterostomal Therapy (Licence: NY 188082) |
| 163WW0000X Registered Nurse, Wound Care (Licence: NY 188082) | |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |