| NPI | 1679161723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2017029325) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-103146) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-12 |