| NPI | 1013541960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN691578) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR19294700) |
| 183700000X Pharmacy Technician (Licence: NJ 28RW02072600) | |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2020-03-04 |