| NPI | 1295101848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 223367) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: AZ T026067) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2020-08-11 |