| NPI | 1639491665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 44055) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS36163) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2020-11-19 |