| NPI | 1114335015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 17202) |
| Additional Taxonomies | 1835N0905X Pharmacist Nuclear (Licence: AL 17202) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |