| NPI | 1104199611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2011026577) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15437) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2022-04-10 |