| NPI | 1568060986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 69506) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 61071316) |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2021-09-20 |