| NPI | 1972023174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 25325) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2017015537) |
| 183500000X Pharmacist (Licence: KS 1-17057) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |