| NPI | 1740557818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 52714) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 15464-40) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2020-12-16 |