| NPI | 1669829479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 54616) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 25778) |
| Enumeration Date | 2016-05-22 |
| Last Update Date | 2020-11-01 |