| NPI | 1932680832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 61783) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 37872) |
| 183500000X Pharmacist (Licence: GA RPH030804) | |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |