| NPI | 1114354511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2012023196) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15144) |
| 183500000X Pharmacist (Licence: NE 13995) | |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-10-22 |