| NPI | 1558078808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-08 |