| NPI | 1952629727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: PR 1163) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: PR 4593) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |