| NPI | 1245694884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 21675) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 13935) |
| Enumeration Date | 2016-04-10 |
| Last Update Date | 2020-02-05 |