| NPI | 1164010583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 47572) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 3275) |
| Enumeration Date | 2021-01-03 |
| Last Update Date | 2021-01-03 |