| NPI | 1356861306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 12228) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 014780) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |