| NPI | 1104312032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 28618) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH030560) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2021-04-21 |