| NPI | 1578222923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 72355) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI RPH033358) |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2024-01-15 |