| NPI | 1124724745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 366202-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 2864) |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |