| NPI | 1356005300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP455086) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0012643) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |