| NPI | 1487295226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 63569) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 79603) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |