| NPI | 1053959635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 45683) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PST.018294) |
| Enumeration Date | 2019-12-14 |
| Last Update Date | 2019-12-14 |