| NPI | 1053697433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 9986) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA D16789) |
| Enumeration Date | 2011-10-29 |
| Last Update Date | 2011-10-29 |