| NPI | 1245456862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 120255) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 5270) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2019-07-29 |