| NPI | 1083974091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: TX NA0061087580) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: VA 0230023306) |
| 183700000X Pharmacy Technician (Licence: IL 049283791) | |
| 183700000X Pharmacy Technician (Licence: NC 37723) | |
| 183700000X Pharmacy Technician (Licence: CO 0019458) | |
| 183700000X Pharmacy Technician (Licence: WI 23878441) | |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2026-06-03 |