| NPI | 1215630645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 25155) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0010265) |
| 183500000X Pharmacist (Licence: PA RP453144) | |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-03-24 |