| NPI | 1629481916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 19092) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 013323) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2020-11-22 |