| NPI | 1568911865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA RN141609) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: LA 4260923) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-10-03 |