| NPI | 1235201237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R27811) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: ND TECH1115) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2014-01-28 |