| NPI | 1366775983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 21231) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NE 6657) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2020-06-30 |