| NPI | 1972354603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WV 105438) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: WV 105438) |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |