| NPI | 1952752602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-32212) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 122610) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |