| NPI | 1962785998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 48812) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00007719) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2023-10-25 |