| NPI | 1497352892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 021713) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 29527) |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2022-12-16 |