| NPI | 1962091389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1096953) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 130187) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2024-06-28 |