| NPI | 1912160474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 5179) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 119240) |
| Enumeration Date | 2008-07-05 |
| Last Update Date | 2019-10-18 |