| NPI | 1215480074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2016025447) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-100071) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |