| NPI | 1932703634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 59544) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 60986497) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-11-24 |