| NPI | 1063016798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 234590) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 01053) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-23 |