| NPI | 1063769347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 11663) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 18380) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2017-06-15 |