| NPI | 1952786428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 56746) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00008400) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2021-11-28 |