| NPI | 1124504220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 18312) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 41756) |
| 183500000X Pharmacist (Licence: VA 0202216648) | |
| 183500000X Pharmacist (Licence: SC 37626) | |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |