| NPI | 1215337589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 64278) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 20475) |
| Enumeration Date | 2014-08-24 |
| Last Update Date | 2024-04-22 |