| NPI | 1003190182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 5633) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0010828) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |