| NPI | 1366969842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR Rph-0017846) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00008799) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2020-12-17 |