| NPI | 1205293297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AR r077643) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 54187) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2019-05-31 |