| NPI | 1124580543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: NY CI067485) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: NY I067485) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2021-11-18 |