| NPI | 1750654919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2012037680) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 51997) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2020-01-02 |