| NPI | 1407524358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 125293) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 6860) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-03 |