| NPI | 1639456254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 6410) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 11199) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2023-01-23 |