| NPI | 1669759411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2001014312) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 0007660) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2020-12-03 |