| NPI | 1023623683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 69109) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 237052) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 36691) | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2021-08-17 |