| NPI | 1912508854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WV 52458) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WV 52458) |
| 171M00000X Case Manager/Care Coordinator (Licence: WV 52458) | |
| 251E00000X Home Health (Licence: 52458) | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2022-11-08 |