| NPI | 1164842597 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0007641)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ s03940)  | 
| 183500000X Pharmacist (Licence: VA 0202208946)  | |
| 183500000X Pharmacist (Licence: PA 447504)  | |
| Enumeration Date | 2014-04-24 | 
| Last Update Date | 2014-04-24 |