NPI | 1285218917 |
---|---|
Former Name | KAREN MARIE GONZALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183700000X Pharmacy Technician (Licence: OR CPT-0003682) |
Additional Taxonomies | 183700000X Pharmacy Technician (Licence: OR 08-03-700) |
Enumeration Date | 2021-05-10 |
Last Update Date | 2021-05-10 |