| NPI | 1245821396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS 562076) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MS T012680) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-08 |