| NPI | 1043685043 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID p7322)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0015069)  | 
| Enumeration Date | 2015-12-02 | 
| Last Update Date | 2022-11-04 |