| NPI | 1518623784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI HOLMAN Owner 720-443-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WX1500X Registered Nurse, Ostomy Care |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2021-11-12 |