| NPI | 1366035446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 44481) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: PR 010657) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2022-10-24 |