| NPI | 1558192534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 74284) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 74284) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |