| NPI | 1205290186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 7996) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 24875) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |