| NPI | 1407524994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2018031453) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 67405) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |