| NPI | 1023467164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 3797) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 10075) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |