| NPI | 1881072072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER NELSON SMITH Sole Proprietor 843-509-1684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: SC 109341) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |