| NPI | 1205103371 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS23185) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 9824) | 
| Enumeration Date | 2011-11-17 | 
| Last Update Date | 2011-11-17 |