| NPI | 1568053395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 74595) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 67944) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |