| NPI | 1568965820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 124344) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP451855) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2019-11-19 |