| NPI | 1245765916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 60149) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 17254-40) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |