| NPI | 1104425511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 019749) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 41833) |
| 183500000X Pharmacist (Licence: NC 24629) | |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |