| NPI | 1093329682 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 19783)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR 77918)  | 
| Enumeration Date | 2020-09-01 | 
| Last Update Date | 2020-09-01 |