| NPI | 1063783595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 17654) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 9882) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |