| NPI | 1992385868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: WA VA60499026) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: OR CPT0012888) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |