| NPI | 1124411996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 6674) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202211282) |
| 183500000X Pharmacist (Licence: AL 16962) | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-04-05 |