| NPI | 1699100578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 043576) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 010303) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2020-10-26 |