| NPI | 1356884779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 75260) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 64351) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2024-05-16 |