| NPI | 1386490647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 126902) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2024027544) |
| Enumeration Date | 2024-04-27 |
| Last Update Date | 2025-07-07 |