| NPI | 1306121397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: MD PTCB) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MD T03242) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |