| NPI | 1700971306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001074175) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: VA 0230004552) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |