| NPI | 1336539956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2018028851) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MO 2014020023) |
| 183700000X Pharmacy Technician (Licence: MO 2012042141) | |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2021-09-21 |