| NPI | 1063968543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 120127) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 5789) |
| 183500000X Pharmacist (Licence: NC 25668) | |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |