| NPI | 1952331597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: WA va00013204) |
| Additional Taxonomies | 225000000X Orthotic Fitter (Licence: WA C19724) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |