| NPI | 1770096141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: PR 009942) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 082224) |
| 183700000X Pharmacy Technician (Licence: PR 10102283) | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |