| NPI | 1801272851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P7321) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 0021115) |
| 183500000X Pharmacist (Licence: WY 3843) | |
| 183500000X Pharmacist (Licence: NE 15104) | |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2018-03-17 |