| NPI | 1205260064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 17475) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 9003) |
| 183500000X Pharmacist (Licence: VA 0202012764) | |
| 183500000X Pharmacist (Licence: MD 16548) | |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |