| NPI | 1902428543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 163WW0000X Registered Nurse Wound Care (Licence: VA 1255344) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 1255344) |
| 163WX1500X Registered Nurse Ostomy Care (Licence: VA 1255344) | |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2020-05-16 |