| NPI | 1265193189 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S024141)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH239549)  | 
| Enumeration Date | 2022-01-03 | 
| Last Update Date | 2022-01-03 |