| NPI | 1790348597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 10462583-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P7882) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |