| NPI | 1104103019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 21560) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 13749) |
| 183500000X Pharmacist (Licence: SD 5902) | |
| Enumeration Date | 2011-11-05 |
| Last Update Date | 2011-11-18 |