| NPI | 1205232154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 35454) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 23950) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |