| NPI | 1962137653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P10110) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 17596) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2023-05-17 |