| NPI | 1679857221 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 54106)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD11702)  | 
| Enumeration Date | 2011-09-30 | 
| Last Update Date | 2022-09-09 |