| NPI | 1053936609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 66082) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 82197) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-11-30 |