| NPI | 1790167179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S021092) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 117315) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |