| NPI | 1447814777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 35258) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 17607) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2022-04-27 |