| NPI | 1568081974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 22490) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 022053) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2022-08-22 |