| NPI | 1578871588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 20507) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 21499) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2021-08-30 |