| NPI | 1912282575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 015754) |
| 183500000X Pharmacist (Licence: FL PS48480) | |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2024-04-05 |