| NPI | 1104109214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302038297) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 19815) |
| Enumeration Date | 2011-09-25 |
| Last Update Date | 2011-09-25 |