| NPI | 1114546405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 15474) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 64652) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |