| NPI | 1013402619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 29749) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA NA) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2020-09-01 |