| NPI | 1891232088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 80894801701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3781) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2020-09-29 |