| NPI | 1902815772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 12156) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 115530-7) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2021-08-12 |