| NPI | 1881370252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WV 28265) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 116298) |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |