| NPI | 1063063204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2019030637) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2019030637) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-12-13 |