| NPI | 1073993622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 122227) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 6272) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2020-06-12 |