| NPI | 1619302718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 53185) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 19959) |
| Enumeration Date | 2013-09-08 |
| Last Update Date | 2020-12-03 |