| NPI | 1326447194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WV 60186) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 60186) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |