| NPI | 1154607562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 49505) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS60411) |
| Enumeration Date | 2011-10-30 |
| Last Update Date | 2023-06-01 |