| NPI | 1124741020 |
|---|---|
| Former Name | MOHANA SIVASANKARAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: MI 5303044231) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 318161) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-09-26 |