| NPI | 1861911901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 21555) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC PH.36904) |
| Enumeration Date | 2017-09-10 |
| Last Update Date | 2017-11-08 |