| NPI | 1942991450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WV 63290) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 63290) |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |