| NPI | 1114529302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 124824) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 20530-40) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2020-12-03 |