| NPI | 1528595774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL S12467) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: AL T48512) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2022-07-21 |