| NPI | 1497343438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: SC 52549) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: SC 55420) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-05 |