| NPI | 1083996607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302029051) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202206814) |
| Enumeration Date | 2011-09-10 |
| Last Update Date | 2011-09-10 |