| NPI | 1770194300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-109303) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2019030605) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |