| NPI | 1619404605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2016024000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP450709) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2021-03-26 |