| NPI | 1811640154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 25086) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 23699) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2024-07-23 |