| NPI | 1760569800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: PR #3753) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR cfo02470) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |