| NPI | 1619236296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: PR 2531) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PR 029473) |
| 164W00000X Licensed Practical Nurse (Licence: FL rn9217270) | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-09-10 |