| NPI | 1790131217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: WV 330101051159701) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: WV PT0004156) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |