| NPI | 1932654878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S024119) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ I012333) |
| Enumeration Date | 2016-08-21 |
| Last Update Date | 2019-08-09 |