| NPI | 1164863486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2013027379) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 016535) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-28 |