| NPI | 1912315359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 121748) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 22210) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2021-01-20 |