| NPI | 1255843413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2012033847) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 116993) |
| 183500000X Pharmacist (Licence: SD 5646) | |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2017-10-27 |