| NPI | 1366825721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 122755) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP449548) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2016-07-17 |