| NPI | 1154926061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 124516) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 26158) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2023-04-12 |