| NPI | 1194054486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WV 52372) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: WV 52372) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |