| NPI | 1053668632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2011038927) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15563) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |