| NPI | 1538568860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 54982) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 22659) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2020-10-20 |