| NPI | 1063722445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 21635) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 5751) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2012-06-15 |