| NPI | 1912562125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 23356) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 18645-40) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-06-11 |