| NPI | 1366771420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: MN 720724) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MN 4901-0701-0056-480) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2010-12-01 |