| NPI | 1841641651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA PI161747) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MA PT19526) |
| 183700000X Pharmacy Technician (Licence: OR CPT-0010858) | |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |