| NPI | 1265076368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 67445) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 26860) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2024-01-04 |