| NPI | 1275042137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00008950) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 27277) |
| Enumeration Date | 2017-09-23 |
| Last Update Date | 2023-07-10 |