| NPI | 1083974091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: NC 37723) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: VA 0230023306) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2023-07-21 |