| NPI | 1952705139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 60002) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 17596) |
| Enumeration Date | 2014-10-16 |
| Last Update Date | 2021-02-09 |