| NPI | 1386005783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 26436) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WV RP0009237) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-08-31 |