| NPI | 1104428895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WV 76814) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-12-22 |