| NPI | 1780109215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00008748) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 60665) |
| Enumeration Date | 2017-08-05 |
| Last Update Date | 2023-06-05 |