| NPI | 1023566965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: MD T18299) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: RI PH200829) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |