| NPI | 1043908353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN067743) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: GA PHTC049254) |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |