| NPI | 1164864500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 23148) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR 11859) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |