| NPI | 1073020863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 35122) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 11523) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |