NPI | 1952535650 |
---|---|
Former Name | LORI KAY HOULE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183700000X Pharmacy Technician (Licence: MN 701684) |
Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MN 4901-0701-0036-362) |
Enumeration Date | 2009-05-08 |
Last Update Date | 2009-12-10 |