| NPI | 1164902144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S026364) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 0022343) |
| Enumeration Date | 2018-08-18 |
| Last Update Date | 2026-04-29 |