| NPI | 1821470824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 122325) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 6302) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2016-08-26 |