| NPI | 1871089573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 29033) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 60683) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2022-04-16 |