| NPI | 1790179620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 40805) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL S10788) |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2020-06-10 |