| NPI | 1619343647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 36288) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 25899) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2016-07-05 |