| NPI | 1255600029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 54682) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 13494) |
| 183500000X Pharmacist (Licence: GA RPH026247) | |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2023-08-17 |