| NPI | 1053712448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302039890) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202213216) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |