| 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 |