| NPI | 1396801858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: AZ 06516) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: NY 1101-0830-7336-813) |
| 183700000X Pharmacy Technician (Licence: IL 049.120764) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-09 |