| NPI | 1366087249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 18331) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI 4092) |
| 183500000X Pharmacist (Licence: PA 454088) | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |