| NPI | 1356604870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 4279) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 14154) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2021-10-05 |