| NPI | 1679235105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 30776) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH033073) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-12 |