| NPI | 1912339219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 53613) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PST.020249) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2019-04-18 |