| NPI | 1699394429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 11701316-1701) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ME PI46029) |
| Enumeration Date | 2020-04-12 |
| Last Update Date | 2020-08-31 |