| NPI | 1619299443 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: PR 029337)  | 
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PR 029337)  | 
| Enumeration Date | 2010-02-21 | 
| Last Update Date | 2010-02-21 |