| NPI | 1780271312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302415384) |
| Additional Taxonomies | 183700000X Pharmacy Technician |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5351016178) | |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2023-07-28 |