| NPI | 1215644182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WV 108798) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2022-11-01 |