| NPI | 1134640808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT226261) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH237398) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2022-06-24 |