| NPI | 1467787036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: FL RPT276) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL R.M.A 190804) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |