| NPI | 1750003745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WV 246737) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 246737) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2024-05-23 |