| NPI | 1063811693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 120824) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI RPH04943) |
| 183500000X Pharmacist (Licence: MI 5302037304) | |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |