| NPI | 1679194419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 66254) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 79854) |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2023-11-27 |