| NPI | 1275904567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 0023039) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15236) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2020-08-30 |