| NPI | 1134878184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: LA 30011620) |
| Additional Taxonomies | 156FX1101X Technician/Technologist, Ophthalmic Assistant |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 30011620) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: LA 30011620) | |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-23 |