| NPI | 1093118739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 23429) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 16554) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |