| NPI | 1205292596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 22187) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 12891) |
| 183500000X Pharmacist (Licence: CA 42491) | |
| 183500000X Pharmacist (Licence: VA 0202006075) | |
| Enumeration Date | 2016-01-03 |
| Last Update Date | 2016-01-03 |