| NPI | 1386367787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: WV 112996) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 112996) |
| 164W00000X Licensed Practical Nurse (Licence: WV 27032) | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2023-01-23 |