| NPI | 1477025815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 63827) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 065192) |
| 183500000X Pharmacist (Licence: FL PS58799) | |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2019-11-21 |