| NPI | 1063798908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 17888) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD R-6093) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2021-10-28 |