| NPI | 1881257756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R077971) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: DC RN41596) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |