| NPI | 1962005116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033.0121156) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH24296) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2020-11-19 |