| NPI | 1518368489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: WA RN 60254301) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NY RN 671830) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |