| NPI | 1609517309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: WV 28787) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: WV 28787) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |