| NPI | 1245834449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 17406) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 66719) |
| 183500000X Pharmacist (Licence: NY 066838) | |
| 183500000X Pharmacist (Licence: GA RPH032418) | |
| Enumeration Date | 2020-11-28 |
| Last Update Date | 2020-11-28 |