| NPI | 1124594387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 4232) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P8157) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2021-07-26 |