| NPI | 1205345865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 22156) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-103151) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2019-09-09 |