| NPI | 1114211984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 03764451719) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP044077L) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-16 |