| NPI | 1073161832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0012409) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 6728590-1701) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |