| NPI | 1629676291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 49906) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 15067) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2021-01-26 |