| NPI | 1083932040 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 3113) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH23823) | 
| Enumeration Date | 2010-05-13 | 
| Last Update Date | 2010-05-13 |