| NPI | 1093096612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 22507) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 8281) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |