| NPI | 1205116423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S019527) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302038284) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2015-02-10 |