| NPI | 1255920658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0017831) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 13998-040) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2022-12-28 |