| NPI | 1003166513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 18396) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 42739) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2020-12-15 |