| NPI | 1760750673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202213525) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 21616) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2020-12-01 |