| NPI | 1659573533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other (Licence: PR 247200000X) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: PR 183700000X) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2025-09-11 |