| NPI | 1629348149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 5144) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056664) |
| 183500000X Pharmacist (Licence: MN 118942) | |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2020-12-03 |