| NPI | 1164709754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 22047) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 13478) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |