| NPI | 1740469006 |
|---|---|
| Former Name | ARIELLE ROSE SHIELY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202216613) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 001111795) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2019-09-23 |