| NPI | 1356527899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: 300101041156320) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MA 5886) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |