| NPI | 1861731184 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WE0900X Registered Nurse, Enterostomal Therapy (Licence: UT 288297-3102) | 
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: UT 288297-3102) | 
| 163WX1500X Registered Nurse, Ostomy Care (Licence: UT 288297-3102) | |
| Enumeration Date | 2013-02-06 | 
| Last Update Date | 2013-02-06 |