| NPI | 1205112075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 12815-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S010994) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |