| NPI | 1689142861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2018036336) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 64871) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2024-02-29 |