| NPI | 1164958955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 018641) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 15295) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |