| NPI | 1962024836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 68882) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 36768) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2021-08-22 |