| NPI | 1780315861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 31812) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 022266) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2023-01-04 |