| NPI | 1922778075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 9454118-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 9454118-8911) |
| 183500000X Pharmacist (Licence: MO 2014023125) | |
| Enumeration Date | 2021-09-19 |
| Last Update Date | 2021-09-19 |