| NPI | 1679078760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 22712) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 21005) |
| 183500000X Pharmacist (Licence: KY 015383) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |