| NPI | 1548909187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SH0200X Clinical Nurse Specialist Home Health (Licence: VA 41115876) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 84187) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-30 |