| NPI | 1265885677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 72397) |
| 207X00000X Orthopaedic Surgery (Licence: MI 4351047886) | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2023-06-08 |