| NPI | 1508529280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95117115) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: CA 99601) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |