| NPI | 1154632321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 18650) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 8648) |
| 183500000X Pharmacist (Licence: VA 0202206926) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |