| NPI | 1285161851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2017010199) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-102040) |
| 183500000X Pharmacist (Licence: WI 15707-040) | |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2017-05-15 |