| NPI | 1972029965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 20036) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 030813) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2022-03-07 |