| NPI | 1871837021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 122267) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 28487) |
| Enumeration Date | 2012-11-11 |
| Last Update Date | 2020-07-24 |