| NPI | 1447750443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN331323) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 305048) |
| 183700000X Pharmacy Technician | |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2024-09-26 |