| NPI | 1376973529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 21682) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp448246) |
| Enumeration Date | 2013-11-24 |
| Last Update Date | 2020-01-29 |