| NPI | 1619583929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R49919) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: ND TECH1864) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2022-04-26 |