| NPI | 1053929745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: WA VA60746133) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: OR CPT-0011195) |
| 183700000X Pharmacy Technician (Licence: NJ 28RW01179500) | |
| Enumeration Date | 2020-07-19 |
| Last Update Date | 2020-07-19 |