| NPI | 1003673971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WV 34156) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 189425) |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |