| NPI | 1275056665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-46984) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 6508) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2018-03-17 |