| NPI | 1154854313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 6447858-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 6447858-8911) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |