| NPI | 1962015883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00008325) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 52144) |
| Enumeration Date | 2020-08-29 |
| Last Update Date | 2020-08-29 |