| NPI | 1649738154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 24546) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302043905) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |