| NPI | 1396114872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 009628) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 41812) |
| 183500000X Pharmacist (Licence: IA 20518) | |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2021-09-10 |