| NPI | 1790938298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: WA VA60042259) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: DC 450101080953305) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |