| NPI | 1578952479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302037926) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 23579) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2022-06-07 |