| NPI | 1629675210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 023416) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 64212) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |