| NPI | 1215228275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 16937) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 11393) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |