| NPI | 1154699221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 17737) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 15459) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |