| NPI | 1912679655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 143111) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: IA 143111) |
| 163WW0000X Registered Nurse, Wound Care (Licence: IA 143111) | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2021-09-30 |