| NPI | 1013253905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 50312) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 16399-40) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2022-09-02 |