| NPI | 1821231952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1018524) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: VA 340101050953503) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2020-11-13 |