| NPI | 1174539803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 013607) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202206330) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-08-29 |