| NPI | 1710472808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 29214) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 62617) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2021-09-27 |