| NPI | 1134405111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000035465) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202209930) |
| 183500000X Pharmacist (Licence: NC 21494) | |
| Enumeration Date | 2011-10-22 |
| Last Update Date | 2011-10-22 |