| NPI | 1700481439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2020025341) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-112083) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2022-10-28 |