| NPI | 1790394955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202218356) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302412316) |
| 183500000X Pharmacist (Licence: MD 27238) | |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |