| NPI | 1124385851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 37790) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 25440) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |