| NPI | 1225100175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R23512) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: ND Tech1117) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2014-01-28 |