| NPI | 1255966909 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 17924-40) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 122246) | 
| Enumeration Date | 2020-03-03 | 
| Last Update Date | 2020-03-03 |