| NPI | 1336792548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 55061) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP452096) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |