| NPI | 1962110585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 00251100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302414442) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2025-04-22 |