| NPI | 1063878049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 36290) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 018061) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2020-06-10 |