| NPI | 1962119222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 125138) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 20851) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-04 |