| NPI | 1164770665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 21607) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 16069) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |