NPI | 1215523063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1017158) |
183500000X Pharmacist (Licence: MD 26841) | |
Enumeration Date | 2020-12-16 |
Last Update Date | 2023-08-17 |