| NPI | 1578095105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: WA 10063756) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: WA VA60042381) |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2017-04-02 |