| NPI | 1922369545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 119208) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 20577) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2021-01-15 |