| NPI | 1124437272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP452453) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0104315) |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2020-12-02 |