| NPI | 1902394414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033.0119887) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302045753) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |