| NPI | 1811538846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: IN 28178664A) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: IN 28178664A) |
| 163WW0000X Registered Nurse, Wound Care (Licence: IN 28178664A) | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |