| NPI | 1295101467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 64556) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 021117) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2022-12-17 |