| NPI | 1710316757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 20507) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 14693-40) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2021-03-04 |