| NPI | 1609531235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 39668) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 266612) |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2021-11-08 |