| NPI | 1386227932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH239469) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 68435) |
| Enumeration Date | 2021-05-02 |
| Last Update Date | 2021-05-02 |