| NPI | 1861939142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: LA 008594) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: VA 0230029553) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |