| NPI | 1700108065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6109) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0011045) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2020-03-31 |