| NPI | 1578246815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 60168) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH034601) |
| 183500000X Pharmacist (Licence: NC 32544) | |
| 183500000X Pharmacist (Licence: AL 23168) | |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-10-10 |