| NPI | 1114369618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP8030) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 0020203) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2014-03-24 |