| NPI | 1366837155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 19643) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL 7805391) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2017-03-30 |