| NPI | 1215341219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 121968) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 6169) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2021-06-11 |