| NPI | 1659962603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 124847) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 20522-40) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |