| NPI | 1093064461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 121875) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 21805) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2016-11-04 |