| NPI | 1831558162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 17455) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 36163) |
| 183500000X Pharmacist (Licence: AL 19016) | |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-09-16 |