| NPI | 1053854976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 19425) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 011164) |
| Enumeration Date | 2016-11-25 |
| Last Update Date | 2018-06-03 |