| NPI | 1184971319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 21764) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 14010) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2022-02-23 |