| NPI | 1982987285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: WA VA00070981) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: WA 410101070950299) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |