| NPI | 1891002804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: TX 300101041150514) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NV 000012383) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |