| NPI | 1982326856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WV 99608) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 389732) |
| 163W00000X Registered Nurse (Licence: KY 1145500) | |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-16 |