| NPI | 1104410257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 69347) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 37500) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-09-06 |