| NPI | 1619253911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 66176) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH030919) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2021-03-15 |