| NPI | 1265558712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: PR 001577) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: WA 270101031153720) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |