| NPI | 1740871110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 11142) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202206652) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |