| NPI | 1043506819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302027107) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 15771-040) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |