| NPI | 1104456805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 83694) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 63861) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2021-02-12 |