| NPI | 1053620856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI 4696) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 26753) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |