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Individual provider · Registered Nurse · Glen Allen, VA

NPI

1831354380

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

0001131867 (VA)

Sex

Female

Sole proprietor

Yes

Enumerated

2008-07-24

Last updated

2008-07-24