| NPI | 1255889879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PR 72619) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: PR 5560) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |