| NPI | 1407487770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 39413) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 270427) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2021-09-02 |