| NPI | 1750772117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: OH 600107010318615) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 407495) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |