| NPI | 1124366638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS24580) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP029040L) |
| 183500000X Pharmacist (Licence: CA RPH42448) | |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |