| NPI | 1710201447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WV 22333708) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: WV 22333708) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |