| NPI | 1609487941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 123693) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 20472) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |