| NPI | 1366012445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 28142) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MD pi01712) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-08-23 |