| NPI | 1174181481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 124213) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP452740) |
| Enumeration Date | 2019-06-01 |
| Last Update Date | 2020-10-13 |