| NPI | 1962280891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WV 98143) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WV 98143) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: WV 98143) | |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-28 |