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 |