| NPI | 1558909762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 152617-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 152617-8911) |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |