| NPI | 1275261562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 11099) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 12607) |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-12 |