| NPI | 1457760092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P7802) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: ID CT1177) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2018-03-17 |