| NPI | 1104455757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 42231) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 29240) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |