| NPI | 1407974207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 20403) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 12697) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-12-01 |