| NPI | 1023316205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 9683) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 017594) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2012-10-11 |