| NPI | 1477081776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 123230) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 6401) |
| 183500000X Pharmacist (Licence: WA PH60677369) | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2018-07-10 |