| NPI | 1124303193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH18940) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 47517) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2020-03-04 |