| NPI | 1053717074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 21960) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH027494) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |