| NPI | 1063760874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 22619) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 13722) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2015-09-15 |