| NPI | 1376061721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD 6482) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 23132) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |