| NPI | 1760167647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: WV Pt0011200) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MD T27597) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-08-10 |