| NPI | 1073865846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 057335) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 057335) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2014-09-16 |