| NPI | 1053659243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 16885) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 026446) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |