| NPI | 1124391065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 13649) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 055481) |
| 183500000X Pharmacist (Licence: CA 65154) | |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-07-09 |