| NPI | 1750660288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: MI 5303032726) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MI 230014996500410) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2021-07-06 |