| NPI | 1174905293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0014782) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 36083) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-08-28 |