| NPI | 1326618620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 253580) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TN 65795) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-06-29 |