| NPI | 1154007722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P10852) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK I10301) |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-08-30 |