NPI | 1174057897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 63113) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5302042485) |
Enumeration Date | 2017-04-19 |
Last Update Date | 2024-09-09 |