| NPI | 1851612766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: NY 595978) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 595978-1) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2021-09-29 |