| NPI | 1295112852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH234644) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 122314) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2017-04-19 |