| NPI | 1255002010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 024813) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 69341) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2023-10-14 |