| NPI | 1780108415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 125243) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 19060-40) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2021-09-07 |