| NPI | 1902187842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 49837) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202209127) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2020-12-14 |