| NPI | 1366057481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 67430) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 122960) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |