| NPI | 1265780605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2012029740) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15380) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2023-10-16 |