| NPI | 1760906481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 27285) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 42630) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2021-12-14 |