| NPI | 1609143825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 038794) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 17259) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2023-01-05 |