| NPI | 1790308351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 125366) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 6694) |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2022-02-18 |