| NPI | 1407351406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 333600000X Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |