| NPI | 1356737266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2019024085) |
| Additional Taxonomies | 104100000X Social Worker |
| 183700000X Pharmacy Technician (Licence: MO 2014033320) | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2021-04-19 |