| NPI | 1922620772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 63533) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00009270) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |