| NPI | 1164635934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P5321) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 8912) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2019-12-17 |