| NPI | 1003402629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001228247) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: VA 0230012735) |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2020-12-17 |