| NPI | 1215681796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 2711) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PR 2167) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-03-26 |