| NPI | 1821654377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 123530) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 18851-40) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |