| NPI | 1053962720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH237030) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS55343) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |