| NPI | 1205516994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 25112) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 32367) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2024-08-07 |