| NPI | 1215203120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 21838) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 36293) |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2017-02-03 |