| NPI | 1063109890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 20175) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK I-10229) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2024-05-09 |