| NPI | 1174890784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MN 723951) |
| 183700000X Pharmacy Technician (Licence: CA 109606) | |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |