| NPI | 1245360627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 122405) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 12300040) |
| 183500000X Pharmacist (Licence: UT 55586641701) | |
| 183500000X Pharmacist (Licence: CO 14320) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2021-01-29 |