| NPI | 1114349362 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S009739) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00005287) | 
| Enumeration Date | 2014-01-07 | 
| Last Update Date | 2014-01-07 |