| NPI | 1386042596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2008027641) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-14608) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2020-10-14 |