| NPI | 1730481003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 016578) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY I08772) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2013-08-14 |