| NPI | 1609399518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP452916) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 60818) |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2020-11-17 |