| NPI | 1013563600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302411850) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: MI 5302411850) |
| Enumeration Date | 2019-08-10 |
| Last Update Date | 2019-08-10 |