| NPI | 1184269391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 16174) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 27130) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |