| NPI | 1144572918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 52923) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302037664) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2021-05-12 |