| NPI | 1174658413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 17009) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 15361-040) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-07-07 |