| NPI | 1487212122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 12407) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 17823) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |